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Dr Umar Mohammed
Chairman NMA Sokoto
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| Publication Title : | SCHISTOSOMA-OVA POSITIVE URINARY BLADDER CANCERS IN A NIGERIAN REFERRAL CENTER - SIXTEEN YEAR REVIEW |
| Author(s) : | Abubakar A, Sule AA, Haruna MS |
| Abstract : | The endemicity of urinary bladder schistosomiasis and its link with the bladder malignancy was established in the epidemiological evaluations from across sections of Africa and Eastern Mediterranean. Notwithstanding, appraisals on the parasite-tumour mergence remained inadequate for most of the Nigerian communities. This review was to ascertain the pattern in Kano, a colossal city in Northern Nigeria. This was a 16-year retrospective study from 2nd January, 2001 to 31st December, 2016 of all Schistosoma-ova ingrained bladder cancers cataloged in the Aminu Kano Teaching Hospital, Kano, Nigeria. The reviewed variables comprised the patient's age, sex and the cancer histopathological conclusions. A total of 357 bladder cancers were confirmed during the sixteen year period. Of these, 30 (8.4%) demonstrated schistosomiasis ova. Patient's age ranged from 26 to 80 years (mean 50.8 ±SD 10.91); the highest prevalence was the 6th-decade category. Males and females comprised 27 and 3 cases respectively; the ratio of 9: 1. Squamous cell carcinoma (SCC) was 53.3% of schistosoma-ova positive (SOP) cancers whilst urothelial carcinoma and adenocarcinoma were 43.3% and 3.3% respectively. The SCCs were mainly either moderately or poorly differentiated. This study showed 8.4% bladder cancers had schistosomal ova ingrained and the majorities were moderately or poorly differentiated SCCs. The review revealed male preponderance plus a peak prevalence in the 6th decade. The appraisal heightened the need for a further framework in scaling up control of the risks for bladder cancer including the high burden of schistosomiasis in Nigeria. |
| DOI : | 10.47837/cmj.19770126.nma.2017512162 |
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